Distinguishing 'dual' from 'duplicated' right coronary artery: Revisiting the nomenclature
Niraj Nirmal Pandey1, Aprateem Mukherjee1, Nitish Naik2
1Department of Cardiovascular Radiology and Endovascular Interventions, All India Institute of Medical Sciences, New Delhi, India.
Insights
This case study describes a unique dual right coronary artery (RCA) anatomy. It emphasizes the need for precise terminology, distinguishing between "dual" and "duplicated" RCA variations.
Area of Science:
- Cardiovascular Anatomy
- Coronary Artery Variations
Background:
- Anatomical variations of the coronary arteries can impact surgical and diagnostic procedures.
- The right coronary artery (RCA) exhibits numerous variations in its origin, course, and distribution.
Abstract:
We report a case of a 53-year-old man with a "short RCA" seen coursing within the proximal part of the right atrioventricular (AV) groove and terminating in the mid-portion of the right AV groove and a "long RCA" seen to have a proximal course outside the right AV groove, over the free wall of the right ventricle, where it gave rise to the right ventricular and acute marginal branches before returning to the right AV groove in its distal course. The discussion highlights the need for revisiting the nomenclature of "dual RCA and drawing a distinction between "dual" and "duplicated" RCA.
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